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Mental health neglected worldwide Mentally ill 'suffering neglect'
(19 minutes later)
Mentally ill people in the developing world are being badly neglected, according to research published in the Lancet medical journal. Mentally ill people in the developing world are being badly neglected, according to a study published in the Lancet medical journal.
The authors say mental illness makes up about 14% of global disease, more than cancer or heart disease.The authors say mental illness makes up about 14% of global disease, more than cancer or heart disease.
Up to 800,000 people commit suicide each year, mostly in poorer countries.Up to 800,000 people commit suicide each year, mostly in poorer countries.
Despite this, the authors say, 90% of sufferers in developing countries receive no care. In some cases they are chained to trees or kept in cages. Despite this, the authors say, 90% of sufferers in developing countries receive no care - and in some cases are chained to trees or kept in cages.
Health officials called for new strategies and more money for treatment of the mentally ill in the developing world in a special series published by the Lancet. Health officials call for new strategies and more money for treatment of the mentally ill in the developing world in a special series published by the Lancet.
They warned that as more people suffer from mental problems as a result of war, poverty and disease, unless widespread treatment becomes available, poor countries will be further handicapped in the future. They warn that as more people suffer from mental problems as a result of war, poverty and disease, unless widespread treatment becomes available, poor countries will be further handicapped in the future.
No treatment The study says that in poor rural communities, families living in poverty cope the best they can with mentally ill relatives, but are often unable to afford medication or specialised care.
Nirmala Srinivasan, head of Action For Mental Illness, a lobby group based in Bangalore, India, told the Associated Press news agency that only 7% - 8% of an estimated 40 million to 50 million people in India who are victims of some form of mental illness - schizophrenia, depression, obsessive compulsive disorder, anxiety - get proper treatment. In some countries, it adds, mental illness was seen as a stigma.
In developing countries few can afford psychiatric treatment 'Stark choice'
Mentally ill adults in the major Brazilian cities are frequently seen begging on street corners and sleeping under highway overpasses. The report also stresses the impact of mental health on other health conditions.
In poor rural communities, families living in poverty cope the best they can with mentally ill relatives, but are often unable to afford medication or specialised care. In developing countries, few can afford psychiatric treatmentIt says poor mental health makes people more prone to other health problems - and then they are also less likely to get the medical help, social support and treatment they need.
In some countries, mental illness is seen as a stigma. Their dependents may suffer too, it adds, citing evidence from India and Pakistan that mothers who are depressed are more likely to have a malnourished child.
In Zambia, where it is believed to be a sign of witchcraft or being possessed by the devil, people who are sick are reluctant to seek help. Nirmala Srinivasan, head of Action For Mental Illness, a lobby group based in Bangalore, India, told the Associated Press news agency that only 7% to 8% of an estimated 40 million to 50 million people in India who were victims of some form of mental illness - schizophrenia, depression, obsessive compulsive disorder, anxiety - got proper treatment.
Mental illness is indeed life-threatening. About 800,000 a year commit suicide. The study acknowledges that many poorer countries are often presented with a stark choice when it comes to the treatment of mental patients, given the scarcity of resources.
More than four out of five are in low or middle income countries.
Lack of resources
But the report is also keen to stress the impact of mental health on other health conditions.
Poor mental health makes people more prone to other health problems - and then they are also less likely to get the medical help, social support and treatment they need.
Their dependents may suffer too. There is evidence from India and Pakistan, for example, that mothers who are depressed are more likely to have a malnourished child.
Many poorer countries are often presented with a stark choice when it comes to the treatment of mental patients given the scarcity of resources.
But many of the experts say basic mental health services can be provided cheaply and simply, especially if they are made part of general healthcare.But many of the experts say basic mental health services can be provided cheaply and simply, especially if they are made part of general healthcare.